Provider Demographics
NPI:1689767295
Name:NEPHROLOGY ASSOCIATES OF COLUMBUS, P.C.
Entity Type:Organization
Organization Name:NEPHROLOGY ASSOCIATES OF COLUMBUS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MANOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-327-6296
Mailing Address - Street 1:2424 A WARM SPRINGS ROAD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904
Mailing Address - Country:US
Mailing Address - Phone:706-327-6296
Mailing Address - Fax:706-571-0036
Practice Address - Street 1:2424 A WARM SPRINGS ROAD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904
Practice Address - Country:US
Practice Address - Phone:706-327-6296
Practice Address - Fax:706-571-0036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036632207RN0300X
AL207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529301970Medicaid
CM3470OtherRAILROAD MEDICARE
GA300027599AMedicaid
AL529301970Medicaid
CM3470OtherRAILROAD MEDICARE